Individual
LAUREN M BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
300 RIDGE RD, MUNSTER, IN 46321-1528
(219) 836-0027
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010507A
IN
225100000X
Physical Therapist
070-017174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201045420
—
IN
01
—
P00886037
MEDICARE RAILROAD
IL
Enumeration date
07/26/2010
Last updated
02/17/2025
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